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PA HB1301
Bill
Status
4/28/2025
Primary Sponsor
Tarik Khan
Click for details
AI Summary
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Health insurance policies in Pennsylvania must cover all expenses for PrEP (pre-exposure) and PEP (post-exposure) HIV prevention medications, including associated laboratory tests and provider visits for counseling and prescriptions
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Patients cannot be charged any copays, coinsurance, deductibles, or other cost-sharing for PrEP/PEP medications or related services
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Insurers are prohibited from moving PrEP/PEP medications or associated services to specialty tiers solely for monetary gain
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Counseling by infectious disease specialists or immunologists cannot be required as a condition to receive PrEP/PEP unless medically necessary
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The act takes effect 60 days after enactment, with implementation timelines of 180 days for policies not requiring rate/form filings
Legislative Description
Requiring health insurance policies to provide coverage for pre-exposure prophylaxis and post-exposure prophylaxis HIV medication and associated laboratory tests and patient visits.
Last Action
Referred to Health
4/28/2025